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Individual
SHELLEY HICKS BOTTS
Active
Individual
SHELLEY HICKS BOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 11251
FL
235Z00000X
Speech-Language Pathologist
SZ 5021
FL
Other
Enumeration date
11/05/2010
Last updated
12/19/2012
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